HESI RN
HESI RN D441 Pharmacology 0A1 Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions to a client who has been prescribed an inhaled medication. Which statement provided by the client indicates a correct understanding of the instructions?
Correct Answer: A
Rationale: Rinsing the mouth after using an inhaled medication, especially corticosteroids, prevents oral thrush and other side effects. This indicates correct understanding, unlike using the inhaler during meals, limiting caffeine, or fixed bedtime use, which are not universally appropriate.
Question 2 of 5
The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Correct Answer: D
Rationale: Rapid weight gain may indicate fluid retention or other serious complications with gabapentin use, requiring urgent evaluation. This symptom is more critical to report than photosensitivity, gastric irritation, or sexual dysfunction, which are less severe or less commonly associated.
Question 3 of 5
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Correct Answer: A
Rationale: Naloxone has a shorter half-life than most opioids, so opioid-induced respiratory depression may persist. The client’s severe symptoms (respiratory rate of 4 breaths/min, oxygen saturation of 75%, unresponsiveness) indicate the initial dose was insufficient. Administering a second dose of naloxone is the priority to reverse the opioid effects and address the life-threatening hypoxia.
Question 4 of 5
A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?
Correct Answer: B
Rationale: Diphenhydramine causes significant drowsiness, posing a safety risk when driving. This instruction is critical to ensure the client’s safety and prevent accidents.
Question 5 of 5
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Correct Answer: D
Rationale: Fluticasone propionate and salmeterol discus is a maintenance medication used twice daily to control asthma. Caregivers should ensure adherence to this schedule and not use it for acute attacks, which require a rescue inhaler.